title: Interregional healthcare: patient stories and chart reviews.
abstract: The literature and healthcare provider experiences leave questions about which interventions might best assist patients during interregional healthcare. The research was conducted to gain information on the current reality of interregional healthcare for patients needing tertiary cardiovascular care distant from their home. A purposive sample of patients having a cardiovascular diagnosis who were transferred for procedures or surveillance to a tertiary site were interviewed (n = 17), and their charts were reviewed (n = 27). Six broad themes were extracted from the interviews and chart reviews: healthcare provider behaviors, healthcare system issues, patient education or information, discharge from the hospital, overall reflections on the healthcare experience, and healthcare communication issues. A redesign of interregional healthcare is needed to address the areas of care and expert behaviors by providers, documentation, continuity, communication, education, and rehabilitation/adaption. The advanced practice nurse is well suited to lead these practice changes.
authors.affiliation: Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
authors.forename: E H
authors.initials: EH
authors.lastname: Miller
authors.forename: D A
authors.initials: DA
authors.lastname: Nordquist
authors.forename: K A
authors.initials: KA
authors.lastname: Doran
authors.forename: C K
authors.initials: CK
authors.lastname: Ahern
authors.forename: Y M
authors.initials: YM
authors.lastname: Karsten
mesh_terms: D001294:Attitude to Health; D002318:Cardiovascular Diseases / Q000451:nursing*; D005260:Female; D006801:Humans; D008297:Male; D009731:Nursing Audit; D015404:Nursing Methodology Research; D010360:Patient Transfer / Q000592:standards*; D012041:Regional Medical Programs / Q000592:standards*; D012189:Retrospective Studies